DR. Bradley Gordon Bork, DDS
NPI #1972534527 in Mediapolis, Iowa
Provider Information
- NPI Number
- 1972534527
- Entity Type
- Individual
- Name
- DR. Bradley Gordon Bork, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 511 COLUMBIA STREET
- City
- Mediapolis
- State
- Iowa
- ZIP Code
- 52637
- Phone
- (319) 394-3255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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